Overview of the interaction between hepatic lipid metabolism, hydrogen peroxide (H2O2) and lipid peroxidation (LPO) processes in hepatocytes. Mitochondrial oxidation, here represented by fatty acid (FA) oxidation under oxygen (O2) consumption, is associated with the formation of reactive oxygen species (here exemplified by H2O2). H2O2 is detoxified by the activity of catalase (CAT) and glutathione peroxidase (GPx). Importantly, H2O2 is converted to the highly reactive hydroxyl radical, which causes LPO of intracellular triglycerides (TG). The intracellular damage induced by LPO can be repaired to a certain extent by the hepatocytes or prevented by terminating the radical chain reactions. LPO inhibits the activity of the antioxidative enzymes CAT and GPx, therefore impairing H2O2 detoxification.